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I thank Harders et al.
for the comments and pointing out that some of the traditional efforts to improve operating room throughput can be considered to be “parallel processing.”1 As noted by Harders et al.
, improving individual functions and improving teamwork has always been essential to improving productivity independent from the actual industry or product, including the operating room.2 In contrast, the editorial3 and accompanying article4 is focused on redesigning the larger process that goes beyond improving individual productivity and teamwork.